Questional reimbursement from the federal government seems to be a pervading theme across the spectrum from medical to independent contracting (save for Defense Department cronies who seem to be compensated/reimbursed lavishly and to the exclusion of all other vendors.)

In any implementation, a business leader has to champion the technology or it will fail. Even when an implementation is driven by a government regulation, you need an internal champion. Within healthcare, that champion should be a high-level physician, nurse, or clinician, depending on the breadth and scope of the solution you're implementing. There are bound to be some frustrations. If it's seen as an IT edict without real benefit to the doctors, nurses, radiologists, or other staff who will use the system each day, then getting buy-in will be challenging.